CHAPTER 12 HEALTH PROMOTION OF THE
TODDLER AND FAMILY QUESTIONS AND
COMPREHENSIVE ANSWERS.
A 24-month-old toddler starts to show readiness for toilet training; it is
important for the parent to be aware of this and be ready to start the
process. At 18 months of age, a child needs consistent but gentle discipline
because the child cannot yet understand firmness and structure with
discipline. Development of fears and need for security items usually occurs
at the end of the 18- to 24-month stage. A 36-month-old child does not yet
understand time and proximity of events, so the parent needs to
understand that the toddler cannot "hurry up or we will be late."
The nurse is assessing a toddler's visual acuity. Which visual acuity is
considered acceptable during the toddler years?
a. 20/20
b. 20/40
c. 20/50
d. 20/60 - CorreCt Answers -ANS: B
Visual acuity of 20/40 is considered acceptable during the toddler years.
The nurse is teaching parents about toilet training. What should the nurse
include in the teaching session?
a. Bladder training is accomplished before bowel training.
b. The mastery of skills required for toilet training is present at 18 months.
c. By 12 months, the child is able to retain urine for up to 2 hours or longer.
,d. The physiologic ability to control the sphincters occurs between 18 and
24 months. - CorreCt Answers -ANS: D
The physiologic ability to control the sphincters occurs somewhere between
ages 18 and 24 months. Bowel training is usually accomplished before
bladder training because of its greater regularity and predictability. The
mastery of skills required for training are not present before 24 months of
age. By 14 to 18 months of age, the child is able to retain urine for up to 2
hours or longer.
The nurse is planning care for a hospitalized toddler. What is the rationale
for planning to continue the toddler's rituals while hospitalized?
a. To provide security
b. To prevent regression
c. To prevent dependency
d. To decrease negativism - CorreCt Answers -ANS: A
Ritualism, the need to maintain sameness and reliability, provides a sense
of security and comfort. It will not prevent regression or dependency or
decrease negativism.
A nurse is observing children playing in the playroom. What describes
parallel play?
a. A child playing a video game
b. Two children playing a card game
c. Two children watching a movie on a television
d. A child playing with blocks next to a child playing with trucks - CorreCt
Answers -ANS: D
Parallel play is when a toddler plays alongside, not with, other children. A
child playing with blocks next to a child playing with trucks is descriptive of
, parallel play. The child playing a video game is descriptive of solitary play.
Two children playing cards is descriptive of cooperative play. Two children
watching a television is descriptive of associative play.
Parents ask the nurse for strategies to help their toddler adjust to a new
baby. What should the nurse suggest?
a. Start talking about the baby very early in the pregnancy.
b. Move the toddler to a new bed after the baby comes home.
c. Tell the toddler that a new playmate will be coming home soon.
d. Alert visitors to the new baby to include the toddler in the visit. - CorreCt
Answers -ANS: D
Parents can minimize sibling rivalry by alerting visitors to the toddler's
needs, having small presents on hand for the toddler, and including the
child in the visits as much as possible. Time is a vague concept for toddlers.
A good time to start talking about the new baby is when the toddler
becomes aware of the pregnancy and the changes occurring in the home in
anticipation of the new member. To avoid additional stresses when the
newborn arrives, parents should perform anticipated changes, such as
moving the toddler to a different room or bed, well in advance of the birth.
Telling the toddler that a new playmate will come home soon sets up
unrealistic expectations.
Parents ask the nurse, "How should we deal with our toddler's regression
since our new baby has come home?" The nurse should give the parents
which response?
a. "Introduce new areas of learning."
b. "Use time-out as punishment when regression occurs."
c. "Ignore the behavior and praise appropriate behavior."
TODDLER AND FAMILY QUESTIONS AND
COMPREHENSIVE ANSWERS.
A 24-month-old toddler starts to show readiness for toilet training; it is
important for the parent to be aware of this and be ready to start the
process. At 18 months of age, a child needs consistent but gentle discipline
because the child cannot yet understand firmness and structure with
discipline. Development of fears and need for security items usually occurs
at the end of the 18- to 24-month stage. A 36-month-old child does not yet
understand time and proximity of events, so the parent needs to
understand that the toddler cannot "hurry up or we will be late."
The nurse is assessing a toddler's visual acuity. Which visual acuity is
considered acceptable during the toddler years?
a. 20/20
b. 20/40
c. 20/50
d. 20/60 - CorreCt Answers -ANS: B
Visual acuity of 20/40 is considered acceptable during the toddler years.
The nurse is teaching parents about toilet training. What should the nurse
include in the teaching session?
a. Bladder training is accomplished before bowel training.
b. The mastery of skills required for toilet training is present at 18 months.
c. By 12 months, the child is able to retain urine for up to 2 hours or longer.
,d. The physiologic ability to control the sphincters occurs between 18 and
24 months. - CorreCt Answers -ANS: D
The physiologic ability to control the sphincters occurs somewhere between
ages 18 and 24 months. Bowel training is usually accomplished before
bladder training because of its greater regularity and predictability. The
mastery of skills required for training are not present before 24 months of
age. By 14 to 18 months of age, the child is able to retain urine for up to 2
hours or longer.
The nurse is planning care for a hospitalized toddler. What is the rationale
for planning to continue the toddler's rituals while hospitalized?
a. To provide security
b. To prevent regression
c. To prevent dependency
d. To decrease negativism - CorreCt Answers -ANS: A
Ritualism, the need to maintain sameness and reliability, provides a sense
of security and comfort. It will not prevent regression or dependency or
decrease negativism.
A nurse is observing children playing in the playroom. What describes
parallel play?
a. A child playing a video game
b. Two children playing a card game
c. Two children watching a movie on a television
d. A child playing with blocks next to a child playing with trucks - CorreCt
Answers -ANS: D
Parallel play is when a toddler plays alongside, not with, other children. A
child playing with blocks next to a child playing with trucks is descriptive of
, parallel play. The child playing a video game is descriptive of solitary play.
Two children playing cards is descriptive of cooperative play. Two children
watching a television is descriptive of associative play.
Parents ask the nurse for strategies to help their toddler adjust to a new
baby. What should the nurse suggest?
a. Start talking about the baby very early in the pregnancy.
b. Move the toddler to a new bed after the baby comes home.
c. Tell the toddler that a new playmate will be coming home soon.
d. Alert visitors to the new baby to include the toddler in the visit. - CorreCt
Answers -ANS: D
Parents can minimize sibling rivalry by alerting visitors to the toddler's
needs, having small presents on hand for the toddler, and including the
child in the visits as much as possible. Time is a vague concept for toddlers.
A good time to start talking about the new baby is when the toddler
becomes aware of the pregnancy and the changes occurring in the home in
anticipation of the new member. To avoid additional stresses when the
newborn arrives, parents should perform anticipated changes, such as
moving the toddler to a different room or bed, well in advance of the birth.
Telling the toddler that a new playmate will come home soon sets up
unrealistic expectations.
Parents ask the nurse, "How should we deal with our toddler's regression
since our new baby has come home?" The nurse should give the parents
which response?
a. "Introduce new areas of learning."
b. "Use time-out as punishment when regression occurs."
c. "Ignore the behavior and praise appropriate behavior."
